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bodycheckup.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Body Check-Up</title>
<link rel="stylesheet" href="home.css">
<style>
input[type="text"]{
margin-bottom: 20px;
padding: 4px;
width: 330px;
height: 32px;
}
input[type="password"]{
margin-bottom: 20px;
padding: 4px;
width: 500px;
height: 32px;
}
input[type="reset"]{
width: 100px;
height: 32px;
font-weight: bold;
}
</style>
</head>
<body>
<section class="header">
<a href="#"><img src="images/Logo.png" alt="" style="height: 100px; width: fit-content;"></a>
<section style="border: 2px; box-sizing: content-box; border-color: aqua; border-radius: 6px; box-shadow: 2px 2px 3px; ">
<H1 style="font-size: 40px;"><B><CENTER>REGISTRATION FORM</CENTER></B></H1>
<BR><BR>
<form name="fname" enctype="text/plain">
<H3><U>PERSONAL DETAILS:</U></H3>
<BR>
<div style="width: 100%;">
<div style="width: 100%;">
<div style="width: 50%; height: 100px; float: left;">
FIRST NAME <input type="text" name="fname" id="name" >
<BR>
GENDER <INPUT TYPE="RADIO" NAME="GENDER">MALE
<BR>
<INPUT TYPE="RADIO" NAME="GENDER">FEMALE
</div>
<div style="margin-left: 50%; height: 100px;">
LAST NAME <INPUT TYPE="TEXT" NAME="LNAME" MAXLENGTH="100">
<BR>
<label for="DOB">DATE OF BIRTH </label>
<input type="date" id="DOB" name="DOB">
</div>
<br>
ADDRESS <input type="text" name="address" id="address" style="height: 64px; width: 990px;">
</div>
<BR>
<H3><U>CONTACT DETAILS:</U></H3>
<BR>
<div style="width: 100%;">
<div style="width: 50%; height: 80px; float: left;">
EMAIL ID <input type="text" name="email" id="email">
</div>
<div style="margin-left: 50%; height: 80px;">
MOBILE NO. <INPUT TYPE="TEXT" MAXLENGTH="3" STYLE=" width: 70px;" VALUE="+91" disabled>
<input type="text" name="mobile" id="mobile" maxlength="10">
</div>
</div>
<BR><BR><BR><BR>
<INPUT TYPE="CHECKBOX" NAME="TERMS"> I ACCEPT THE TERMS AND CONDITIONS SPECIFIED BY THE ORGANIZATION<BR>
<BR><BR><BR>
<div style="width: 100%;">
<div style="margin-left: 45%; float: left;">
<input type="submit" value="SUBMIT" STYLE="width: 100px; height: 32px; font-weight: bold;">
</div>
<div style="margin-left: 55%;">
<input type="reset" value="RESET" >
</div>
</div>
</div>
</FORM>
</section>
</body>
</html>